HomeMy WebLinkAbout07050059 Application
City of Carmel/Clay Township Permit #: 07D5oo5:}
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME Qt}U'~ Vf~ ~<t, 'j'UC:HONE 61') gY~3~6
F
STREET ADDRESS: 4 Ire) Ew ~ ~ DIL, CITY ~
STATE:]}) I
BUILDER'S EMAIL ADDRESS~ ^', n A\~ BEST METHOD OF CONTACT:
"C\lf'IilQV\~~!.Ivv. , ~
NAME: ~rw~ ~ QruJ}-~VI PHONE'S I 1) 1 %?:kf{,
t5\l{E ~ Dft,ITY: CMJ/l11>l.
SE~rr<:1 I
STREET
LOT #:
SUBDIVISION NAME: O~ fYll..Q~
ADDRESS OF CONSTRUCTION ) Y 2Z 0 0 'V ~ fl.JSJIL 0 fLt
SEWER lITIUTY r' n, ,\ ^
PROVIDER: \../ T I~\I\LU
WATER UTILITY I f\..11. ^^ lS;\
PROVIDER: \.Y\V 0 1 , v v
NAME OF UTllITY EXCAVATION CONTRAOOR; PlAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABlE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
. SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~N
_Y.:;4N
I
f Subject to compliance with all regulation
i'1fiIIIl:QF~~~fJ,TY SE . NG CONT
C~ ~~~~f~yLAY TO P um e
o PORCH ADiiIll11a~A
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
_Y~N
Y_N
Which plumbing codes will be applied to the construction:
b International Residential Code w IIndiana Amendments
~ Uniform Plumbing Code wjlndiana Amendments
FOUNDATION TYPE: (Check all that apply for the.new
construction area)
o CRAWLSPACE 0 POST & _ BEAM _PIER
o SLAB ~ BASEMENT (WALKOUT:4'-V_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable Iaws of the State of Indiana, and the UZoning Ordinance of Cannel Indiana - 1993" (Z,
289) a ame ments, adopred under authority of I.c. 36- et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitch , at ,n 00 rams r 0 nected.... anitary ewer. I further certify that the construction will not be used or occupied until a Certificate of
cc 'A c ed y e ep 0 Coty Services, ceAt;~na( I C\~ .s ..() ~ --0 ~
OFFICE USE ONLY: ****** * ** *** ************** * ************************'***ii *** *[5********************
INSPECTIONS RE IRED: Filing Fees: /3 6 q
U F t' L F t' Base Inspections: ;11;7, V)O
pper 00 In ower 00 In 5' C:-, t::. A
Cert, of Occupancy: ~:d <JU
P.R.I.F.: I A-lp l. cP Additional Fees
~
Print
Oate
# Charged Re-
ReVIews
Final
TOTAL:
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
Fee Received by;
Date